Provider Demographics
NPI:1437407939
Name:BATTEN, TERESA J (RN)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:J
Last Name:BATTEN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:509 S HAZEL ST
Mailing Address - Street 2:APT A
Mailing Address - City:GLENWOOD
Mailing Address - State:IA
Mailing Address - Zip Code:51534-1884
Mailing Address - Country:US
Mailing Address - Phone:402-618-1273
Mailing Address - Fax:
Practice Address - Street 1:1702 N 16TH ST
Practice Address - Street 2:
Practice Address - City:COUNCIL BLUFFS
Practice Address - State:IA
Practice Address - Zip Code:51501-0121
Practice Address - Country:US
Practice Address - Phone:712-256-7423
Practice Address - Fax:712-256-4695
Is Sole Proprietor?:No
Enumeration Date:2012-08-15
Last Update Date:2012-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA060698163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health